Ricky Travis Brandon is a student in an organized health care education training program in Spanish Fork, UT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ricky Travis Brandon NPI is 1083379614. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2368 E 1035 S
SPANISH FORK, UT
ZIP 84660-505
Phone: (801) 836-4035
The enumeration date for this NPI number is 11/8/2021 and was last updated on 11/8/2021.